Provider Demographics
NPI:1447618988
Name:NGUYEN, LINH HOANG (RPH,PHARMD)
Entity type:Individual
Prefix:
First Name:LINH
Middle Name:HOANG
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:RPH,PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1733 E PASS RD
Mailing Address - Street 2:
Mailing Address - City:GULFPORT
Mailing Address - State:MS
Mailing Address - Zip Code:39507-3529
Mailing Address - Country:US
Mailing Address - Phone:228-284-6990
Mailing Address - Fax:228-284-6989
Practice Address - Street 1:1733 E PASS RD
Practice Address - Street 2:
Practice Address - City:GULFPORT
Practice Address - State:MS
Practice Address - Zip Code:39507-3529
Practice Address - Country:US
Practice Address - Phone:228-284-6990
Practice Address - Fax:228-284-6989
Is Sole Proprietor?:No
Enumeration Date:2016-01-28
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE-14012183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist